Mu opioids and their receptors: evolution of a concept

GW Pasternak, YX Pan - Pharmacological reviews, 2013 - ASPET
Opiates are among the oldest medications available to manage a number of medical
problems. Although pain is the current focus, early use initially focused upon the treatment of …

The physiologic effects of pain on the endocrine system

F Tennant - Pain and therapy, 2013 - Springer
Severe pain has profound physiologic effects on the endocrine system. Serum hormone
abnormalities may result and these serve as biomarkers for the presence of severe pain and …

[HTML][HTML] Testosterone suppression in opioid users: a systematic review and meta-analysis

M Bawor, H Bami, BB Dennis, C Plater… - Drug and alcohol …, 2015 - Elsevier
Background Whether used for pain management or recreation, opioids have a number of
adverse effects including hormonal imbalances. These imbalances have been reported to …

[PDF][PDF] Opioid-induced androgen deficiency (OPIAD)

HS Smith, JA Elliott - Pain physician, 2012 - painphysicianjournal.com
Opioid therapy is one of the most effective forms of analgesia currently in use. In the past few
decades, the use of opioids as a long-term treatment for chronic pain has increased …

Testosterone deficiency in non-cancer opioid-treated patients

F Coluzzi, D Billeci, M Maggi, G Corona - Journal of endocrinological …, 2018 - Springer
Purpose The use of opioids in patients with chronic non-cancer pain is common and can be
associated with opioid-induced androgen deficiency (OPIAD) in men. This review aims to …

Opiate pharmacology and relief of pain

GW Pasternak - Journal of Clinical Oncology, 2014 - ascopubs.org
Opioids remain the mainstay of severe pain management in patients with cancer. The
hallmark of pain management is individualization of therapy. Although almost all clinically …

Opioid related endocrinopathy

JA Gudin, A Laitman, S Nalamachu - Pain Medicine, 2015 - academic.oup.com
Objective Millions of patients continue to require opioid analgesics for control of moderate to
severe chronic pain, which is a disease that affects more Americans than cancer, heart …

The unsolved case of “bone-impairing analgesics”: the endocrine effects of opioids on bone metabolism

F Coluzzi, J Pergolizzi, RB Raffa… - Therapeutics and Clinical …, 2015 - Taylor & Francis
The current literature describes the possible risks for bone fracture in chronic analgesics
users. There are three main hypotheses that could explain the increased risk of fracture …

Opioids and chronic pain: where is the balance?

MP Davis, Z Mehta - Current oncology reports, 2016 - Springer
Chronic opioid therapy (defined as greater than 3 months on opioids) is a common practice
for those with non-cancer pain, cancer survivors with treatment-related pain, and individuals …

[HTML][HTML] Long-term opioids linked to hypogonadism and the role of testosterone supplementation therapy

S Marudhai, M Patel, SV Subas, MR Ghani, V Busa… - Cureus, 2020 - ncbi.nlm.nih.gov
Opioids play a pivotal role in managing chronic pain with increasing prescription rates over
the last few years. Hence, it is crucial to focus on the adverse effects of narcotics, and one of …